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Evidence based review of management for common head and neck cancers

As part of the PRS evidence based review series, this well written review summarises the up-to-date knowledge regarding the surgical and non-surgical management of the common facial skin cancers. The review is limited to BCC, SCC, MM and Merkel Cell...

Distal Radius Fractures and Carpal Instabilities FESSH IFSSH 2019 Instructional Book

Distal Radius Fractures and Carpal Instabilities was published in 2019 by Thieme as part of their FESSH IFSSH instructional series. At first glance it combines an impressive expert international authorship including leading figures in contemporary wrist surgery. The book is...

To use or not to use: absorbable sutures for facial wounds

This systematic literature review looked at studies comparing facial skin closure with absorable versus non-absorbable sutures. Studies not published in English, or looking at areas other than the head and neck, and studies focused on suture technique rather than material...

TRALI following fresh frozen plasma resuscitation from burn shock

This study aims to examine the incidence of transfusion related acute lung injury (TRALI) in burns resuscitation using fresh frozen plasma (FFP). The authors conducted a retrospective chart review of patients who met their requirement of ‘severe burn‘, that being...

A systematic review of silver sulphadiazine in the conservative management of burns

Silver sulphadiazine (SSD) has been used in conservative management of partial thickness burns (PTB), for over 50 years. Concerns have been raised over potential disadvantages of SSD including need for daily dressing changes, impairment of wound healing and expense. The...

The dynamic nature of orbital cavernous haemangiomas

This paper seeks to address the question of how much do orbital cavernous haemangiomas actually change over time, and if there are any identifiable factors which can predict which lesions will grow and which will remain stable. In particular, if...

Minimal gap interpositional arthroplasty versus aggressive gap arthroplasty in TMJ ankylosis

Arthroplasty in temporomandibular joint (TMJ) ankylosis is managed by three basic techniques; gap arthroplasty, interpositional arthroplasty and joint reconstruction. In this three-year, prospective study of 15 patients, the authors evaluate whether or not aggressive gap arthroplasty is essential in the...

Management of major burns – a role for Oxandrolone

Oxandrolone The authors present a retrospective single centre based study assessing the effect of Oxandrolone (OX) on the length of stay (LOS) following ≥15% of total body surface area (TBSA) burns. One hundred and sixty-seven surviving patients were retrospectively analysed...

Medicinal leech therapy in plastic surgery

The medicinal leech (Hirudo medicinalis) has played a role in treating illness for over 3500 years [1]. It has survived rapid paradigm shifts in medical sciences and knowledge. In Ancient Rome, the use of leeches for bloodletting was propagated by...

In conversation with Derek Mendonca

Can you tell us a bit about your background and what made you decide on a career as a paediatric plastic surgeon? I was born and raised in Bahrain, in the Middle East. My parents, both from Managlore in India,...

The impact of COVID-19 on aesthetic plastic surgery in the UK: a survey of the British Association of Aesthetic Plastic Surgeons

Introduction Devastating pandemics have occurred throughout human history, including the Antonine Plague (AD 165-180), the Justinian Plague (AD 514-549), the Black Death (AD 1347-1351) and the Spanish Flu (AD 1918-1919). The COVID-19 pandemic began in Wuhan, China in December 2019,...

Laser safety – do you think you are safe?

The author explains the importance of proper qualifications and training to ensure both patients and practitioners are protected. Safety concerns For those working with lasers, safety must be everyone’s concern. We should all be checking equipment and safety glasses routinely,...